State Of Illinois Physical Form
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Web • il physical exam (sports physical not acceptable) (parents please complete the health history portion, sign & date) • complete updated immunization. Web a completed examination form for this person is on file in my office at _____. Listed on may 16, 2023 Height weight male female bp / ( / ) pulse vision r 20/ l 20/ corrected.
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Height Weight Male Female Bp / ( / ) Pulse Vision R 20/ L 20/ Corrected Y N.
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